Individual
ALTREDA LANISE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56100
TX
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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